Healthcare SBC
E78.5Billable code

ICD-10 Code E78.5: Hyperlipidemia, unspecified

Endocrine, nutritional and metabolic diseases

ICD-10 code E78.5 identifies unspecified hyperlipidemia when the specific lipid abnormality is not documented.

Coding guidance

The E78 category distinguishes pure hypercholesterolemia (E78.0), pure hyperglyceridemia (E78.1) and mixed hyperlipidemia (E78.2).

E78.5 should be replaced with a specific code whenever lipid panel results support one.

Commonly coexists with diabetes, hypertension and cardiovascular disease.

Documentation and specificity notes

  • Use a specific lipid disorder code when laboratory results are documented.
  • Frequently reported alongside hypertension and diabetes.
  • Supports medical necessity for lipid-lowering therapy and monitoring.

This page provides a general summary for educational purposes and is not a substitute for the official ICD-10-CM code set, the ICD-10-CM Official Guidelines for Coding and Reporting, or payer policy. Code sets are updated annually, verify against the current official release before billing.

FAQ

ICD-10 E78.5, frequently asked questions questions

What is ICD-10 code E78.5?
ICD-10 code E78.5 identifies unspecified hyperlipidemia when the specific lipid abnormality is not documented.
Is E78.5 a billable ICD-10 code?
Yes. E78.5 is a billable and specific ICD-10-CM code that may be used to indicate a diagnosis for reimbursement purposes, provided documentation supports it.
What documentation supports E78.5?
Use a specific lipid disorder code when laboratory results are documented. Frequently reported alongside hypertension and diabetes. Supports medical necessity for lipid-lowering therapy and monitoring.